Effects of nursing management based on plan-do-check-action in acute leukemia patients with chemotherapy

Objective To explore the effects of nursing management based on plan-do-check-action (PDCA) on side effects and life quality after peripherally inserted central catheter (PICC) in acute leukemia patients with chemotherapy. Methods From January 2017 to January 2018, we selected 96 acute leukemia patients in Hematology Department of He'nan Provincial People's Hospital as subjects by convenience sampling. All of the patients were divided into observation group and control group with the random number table, 48 cases in each group. Control group carried out routine nursing care, while observation group received nursing management based on PDCA. And then, we recorded and compared the indwelling time of PICC, hospital stay, complications and the incidence of side effects of patients between two groups. The Self-Rating Anxiety Scale (SAS) , Self-Rating Depression Scale (SDS) and Quality of Life Index (QLI) were used to evaluated patients' anxiety, depression and life quality three days before intervention and one month after intervention. The self-designed questionnaire was used to assess the quality of special nursing in two groups. Results The indwelling time of PICC and hospital stay of observation group were shorter than those of control group with statistical differences (P 0.05) . After intervention, the scores of SAS and SDS of observation group were lower than those of control group; and the scores of QLI and dimension scores of the quality of special nursing of observation group were higher than those of control group; the differences were all statistical (P<0.01) . The incidences of complications and side effects of observation group were statistically lower than those of control group (P<0.05) . Conclusions Nursing management based on PDCA can effectively decrease the occurrence risk of side effects and complications after PICC among acute leukemia patients with chemotherapy, improve patients' life quality and emotional state which has clinical application and promotion value. Key words: Leukemia; Quality of life; Adverse effects; Peripherally inserted central catheter; Plan-do-check-action